May 21, 2013
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Long-term series shows good cataract surgery results in patients previously implanted with iris-claw phakic IOLs

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MILAN — Cataract surgery in patients previously implanted with iris-claw phakic lenses can lead to satisfactory visual outcomes with low induced astigmatism, according to one surgeon.

Camille Budo, MD, presented his results from a series of 93 eyes of 63 patients who underwent cataract surgery at a mean interval of 8.9 years after implantation of iris-claw lenses at the annual joint meeting of Ocular Surgery News and the Italian Society of Ophthalmology. Iris-claw lenses previously implanted included the Artisan, Artiflex and toric Artisan lenses (Ophtec).

"Refraction 10 days after Artisan/Artiflex explantation and cataract surgery was between ± 1 D of intended correction in 75.8% of the eyes and ± 2 D in 92.3% of the eyes. Mean best corrected visual acuity post-cataract was 20/32," Budo said.

Except from some outliers, no difference was found in the axial length before iris-claw implantation and after explantation of the lens prior to cataract surgery. Little astigmatism was induced by the explantation, according to Budo.

Disclosure: Budo is a consultant to Ophthec and Carl Zeiss Meditec.